Category Archives: Selling

Many dentists assume that preparing to sell a practice starts when they’re ready to list it. In reality, some of the most important work happens quietly, soften months or years before a practice ever goes on the market.

January is one of the most valuable times of the year for practice owners to focus on positioning, not selling.

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Why January Is So Important for Sellers

Coming off a full calendar year gives you a clean snapshot of how your practice is actually performing. That makes January the ideal time to identify opportunities to strengthen value while you still have time to act on them.

Early planning allows you to:

• Address issues before buyers see them

• Improve profitability trends rather than explain declines

• Control the story your financials tell

Even small improvements made early can have an outsized impact on valuation.

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Start With a Financial Reality Check

Before thinking about an asking price, sellers should focus on understanding their numbers.

Key areas to review include:

• Profit and loss statements, with an eye toward discretionary and one-time expenses

• Hygiene production and reappointment rates

• Provider mix and associate compensation

• Staffing costs and overtime trends

Clean, well-organized financials not only support a stronger valuation, they also reduce friction during buyer due diligence.

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Identify and Address “Value Leaks”

Many practices have hidden issues that suppress value but are relatively straightforward to fix if identified early.

Common examples include:

• Underperforming hygiene schedules

• Outdated or inconsistent fee schedules

• Insurance participation that no longer makes financial sense

• Deferred maintenance or equipment concerns that affect buyer perception

January gives you the runway to correct these issues gradually rather than rushing to explain them later.

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Clarify Your Transition Goals

Value is not just about numbers, it’s also about structure and expectations.

Ask yourself:

• Do I want to stay on after the sale, and if so, for how long?

• Am I open to seller financing or flexible transition terms?

• What does a “successful” exit look like for me personally?

Having clarity around these questions early helps shape a transaction that fits your goals, not just the highest headline price.

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Final Thought

You don’t need to be ready to sell this year for January planning to matter. In fact, sellers who start early often enjoy smoother transitions, stronger buyer interest, and better overall outcomes.

If selling your practice is a possibility in the next one to three years, January is the best time to start maximizing its value.  Contact us today for a free consultation!

Selling a Dental Practice Is More Than a Transaction

When dentists think about selling their practice, the focus is often on numbers—price, collections, AR, cap rates.

But after the deal is done, what sticks with sellers most isn’t always the final sale price.

It’s how the transition felt. How their staff reacted. Whether patients stayed. Whether they left on their own terms.

In our experience working with hundreds of dentists, here’s what we’ve heard time and time again—both the regrets, and the smart decisions sellers are grateful they made.

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What Sellers Regret After the Sale

1. Not Preparing Sooner

Many sellers wait until they’re burned out, dealing with health issues, or planning a sudden relocation. This often leads to:

• Rushed transitions

• Lower practice value

• Missed planning opportunities

• Poor records or outdated equipment

What they say:

“I wish I had started planning 2–3 years earlier so I could exit on my terms.”

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2. Avoiding Staff Conversations

Some sellers delay or completely avoid telling their staff until the last possible moment. The result?

• Staff feel blindsided or betrayed

• Team morale drops

• Patients pick up on the tension

• The buyer walks into a retention crisis

What they say:

“I should have trusted my team more. They were way more supportive than I expected.”

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3. Agreeing to a Workback Period They Didn’t Want

Whether due to pressure from a buyer or fear of letting go, some sellers agree to work longer than they’d like.

What they say:

“I thought I’d enjoy staying on, but after three months, I was ready to be done.”

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4. Trying to Do It Without Help

Some sellers try to manage the process without professional support—thinking they’ll save money or keep things simpler.

In reality, this often leads to:

• Deal fatigue

• Legal risks

• Missed opportunities

• Valuation mistakes

What they say:

“I should have hired a broker. The stress and second-guessing weren’t worth it.”

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What Sellers Are Glad They Did

1. Getting a Valuation Before Listing

Sellers who took the time to get a professional appraisal or valuation early in the process felt more confident and in control.

What they say:

“Knowing the real value helped me plan better and stand firm in negotiations.”

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2. Being Transparent with the Buyer

Open, honest communication with the buyer—about staff, patient mix, procedures, and even weaknesses—builds trust and smoother transitions.

What they say:

“Because I was upfront, the buyer respected me, and we had zero surprises at closing.”

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3. Supporting the Transition (But on Their Terms)

Many sellers found joy in helping the new owner during the early weeks, as long as they set clear boundaries and expectations.

What they say:

“Helping with the handoff made it easier for the patients, staff, and even for me.”

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4. Leaving With Gratitude and Closure

The most content sellers are those who:

• Took time to say goodbye

• Left their charts, office, and team in good shape

• Walked away with a plan for “what’s next”

What they say:

“I’m proud of the legacy I left—and I’m finally enjoying my time again.”

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Final Thought: A Successful Sale Isn’t Just About Price

Yes, maximizing your practice value matters. But long after closing, what you’ll remember is how you felt through the process.

• Were you prepared?

• Was the staff respected?

• Did you leave on your terms?

• Did you feel proud of the way it ended?

Learn from those who’ve been there—and give yourself the space to exit with confidence, clarity, and peace of mind.

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Thinking About Selling in the Next 1–3 Years?

Whether you’re ready now or just starting to think about retirement, we’re here to help you plan early, transition smoothly, and avoid common seller regrets.

👉 Schedule a confidential strategy call with us today.

Selling to an Associate Sounds Simple — But Is It the Right Move?

For many practice owners, the idea of selling to an associate feels like the most natural, comfortable path. You already know the doctor, you’ve seen them treat patients, and the idea of keeping the transition “in the family” can feel reassuring.

But internal transitions aren’t always as smooth as they appear. In fact, they come with unique challenges that outside buyers typically don’t.

Before deciding to sell your practice to an associate, it’s important to step back and evaluate the opportunity objectively — just like you would with any other buyer.

Here are six questions every seller should ask before committing to an internal sale.

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1. Is Your Associate Truly Ready for Ownership?

Many associates think they’re ready to buy a practice — but ownership requires a very different mindset.

Consider whether your associate has demonstrated:

• Leadership potential

• Strong clinical judgment

• Professional maturity

• Good communication skills

• Respect among the team

If your associate still relies heavily on you for direction, struggles with case acceptance, or has difficulty managing conflict, they may need more development before taking the reins.

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2. Can They Qualify for Financing?

Dental practice lenders will evaluate:

• The associate’s credit score

• Personal debt (including student loans)

• Tax returns showing stable income

• Cash flow projections for your practice

Even if your associate is a great clinician, financing can become a roadblock.

Pro tip: Encourage them to speak with a dental-specific lender early so you don’t lose months only to find out they cannot get approved.

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3. Are Your Timelines Aligned?

You may be ready to sell in the next 6–12 months.

Your associate might be thinking 2–4 years.

Or vice versa.

Misaligned timelines are one of the biggest reasons internal sales fall apart.

Ask openly:

• “What’s your ideal timeline to buy a practice?”

• “When do you think you’d be financially ready?”

If the answers don’t match your goals, a broader market sale may be the better route.

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4. Does the Associate Understand the Business Side of Dentistry?

Many associates underestimate just how much goes into running a practice:

• HR

• Billing

• Overhead control

• Vendor management

• Hiring and firing

• Technology decisions

• Marketing

• Leadership

• Compliance

You don’t need your associate to be an expert today — but you do need someone who takes these responsibilities seriously and shows willingness to learn.

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5. Will the Staff Support the Transition?

Team dynamics matter. A lot.

Ask yourself:

• How does the staff interact with the associate today?

• Do they respect and trust them?

• Has the associate shown the ability to lead (or at least the potential to)?

If your team is lukewarm or divided, the transition could be rocky — and patient retention could suffer.

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6. Will You Be Leaving Money on the Table?

Selling to an associate can feel emotionally rewarding, but you should still consider:

• Could you attract higher offers on the open market?

• Are you being asked to “discount” the practice value because of your relationship?

• Will you have to offer seller financing or flexible terms?

• Are you agreeing to work back longer than you’d prefer?

Internal transitions sometimes lead owners to undervalue their life’s work.

You deserve a fair market price — and a fair process.

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When Selling to an Associate Is a Great Option

An internal sale can be an excellent choice when:

• The associate is respected and clinically strong

• Financing is viable

• Your timelines align

• You want continuity for your patients and staff

• You prefer a quieter, more private transition

• The financial offer reflects true market value

In the right circumstances, both parties win.

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When You Should Think Twice

You might want to reconsider an internal sale if:

• You feel pressured to sell “because they asked”

• The associate isn’t stable financially or professionally

• Team members express concerns

• You’d have to discount significantly

• You want a clean, quick exit

• The associate is not ready — but thinks they are

Remember: Doing what feels “easy” today shouldn’t create regret tomorrow.

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Final Thoughts: Your Associate May Be the Buyer — But Only If the Fit Is Right

Selling your practice is one of the most important decisions you’ll ever make. Before committing to an associate transition, ask the tough questions, evaluate the facts, and make sure the opportunity benefits both of you.

A thoughtful decision now sets the stage for a successful transition and protects your legacy.

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Considering Selling in 2026 or 2027?

At American Practice Consultants, we guide owners through both internal and external transitions. If you’re thinking about selling — whether to an associate or the open market — we can help you explore your options with confidence.

👉 Schedule a confidential consultation today.

Why Year-End Review Matters — Even If You’re Not Selling

The end of the year is a natural time for reflection — both personally and professionally. For dental practice owners, it’s also the perfect time to take stock of your business and make strategic decisions for the year ahead.

Even if you’re not planning to sell your dental practice in 2026, doing a quick “health check” now can uncover opportunities to improve operations, profitability, and long-term value.

Here are five key areas every dentist should review before the calendar flips to January.

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1. Your Financials: Is Your Practice Running as Profitably as It Should?

Take a fresh look at:

• Year-to-date collections and production

• Overhead percentages and major expense categories

• Hygiene production as a % of total production

• Year-over-year growth (or stagnation)

Ask your CPA for a year-end profit and loss (P&L) and review it alongside your previous two years. Even if you’re not preparing to sell, understanding the financial trajectory of your practice is critical.

Bonus tip: A clean, organized set of books makes future valuations and potential sales much easier.

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2. Equipment & Technology: Are You Planning for Replacement or Updates?

Make a list of:

• Equipment that’s aging or prone to failure

• Technology that’s outdated or inefficient

• Areas where a modest investment could improve care or patient experience

You don’t need to install the latest 3D scanner tomorrow — but understanding where you stand (and what you’ll need to replace in the next 3–5 years) helps you budget smartly and boost practice value.

A well-maintained, reasonably modern office supports both operational efficiency and transition value.

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3. Lease, Real Estate & Facility Status: Is Your Timeline Aligned?

If you lease your space:

• When does your lease expire?

• Is there an option to renew or assign it to a buyer?

• Are the terms still favorable?

If you own:

• Are there repairs or upgrades to plan for next year?

• Is the building part of your retirement strategy?

Buyers look closely at real estate stability, so having a handle on these details now gives you leverage later — whether you’re looking to sell, expand, or renegotiate.

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4. Staffing & Culture: Are You Building a Team That Adds Value?

The right team supports not just clinical efficiency — but the long-term success and value of your business.

Ask yourself:

• Is my team happy, productive, and well-supported?

• Are there gaps in training or leadership?

• If I were a buyer, would I want to inherit this staff?

Consider conducting brief year-end check-ins or offering small tokens of appreciation. Staff retention is a major factor in how smoothly a future transition can go — and how attractive your practice is to buyers.

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5. Your Own Goals: Are You on Track for the Future You Want?

Whether you’re 1 year or 10 years away from selling, step back and reflect:

• Do I want to own this practice 3 years from now?

• What would need to change for me to feel more energized?

• Am I positioning myself for a successful retirement or lifestyle shift?

Even if a transition feels far off, clarity now helps you plan ahead — and gives you time to make changes on your terms.

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Final Thought: A Little Planning Today Makes a Big Difference Tomorrow

You don’t need to make sweeping changes overnight — but reviewing these five areas gives you a clearer picture of where your practice stands and what your next steps could be.

It’s not about selling tomorrow — it’s about being ready whenever the time is right.

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Thinking About the Future of Your Practice?

Whether you’re planning to sell soon or just want to understand your options, American Practice Consultants offers confidential, no-pressure consultations to help you plan ahead. We also offer formal appraisals if you’d like a baseline valuation to work from.

👉 Contact us to schedule your year-end strategy call.